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在接受全身麻醉的患者中,牙损伤的发生率和危险因素:一项病例对照研究
Sarinya Chanthawong1, Saranyoo Nonphiaraj1, Lady Vongtongchith2
1Department of Anesthesiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Therapeutics and clinical risk management
|October 15, 2025
概括
在全身麻醉 (GA) 期间的牙损伤很少见,发生在0.17%的病例中. 关键的风险因素包括先前存在的牙科问题和预期的难以输管,强调需要仔细的手术前评估,以防止并发症.
科学领域:
- 麻醉学 麻醉学
- 牙科手术 牙科手术
- 患者安全 患者安全
背景情况:
- 牙损伤是全身麻醉 (GA) 下内内管道输入的一个公认的并发症.
- 有限的数据存在于发生率和风险因素与牙损伤在GA.
研究的目的:
- 为了确定在接受GA的患者中牙损伤的发生率.
- 为了确定在GA期间与牙损伤相关的风险因素和结果.
主要方法:
- 从2021年1月到2024年6月,对42,826名患者进行了回顾性病例控制研究.
- 确定了72例牙损伤病例,并将它们与对照 (1:4比率) 相匹配.
- 使用单变量和多变量逻辑回归来识别独立的风险因素.
主要成果:
- 在GA期间牙损伤的发生率为0.17%.
- 重要的独立预测因素包括先前存在的牙科病理 (aOR 3.87),预期的难以输入管道 (aOR 4.99) 和难以输入管道,喉镜视度不佳等级≥3 (aOR 10.56).
- 流血是最常见的并发症.
结论:
- 在GA期间的牙损伤并不常见,但与特定的风险因素有关.
- 预先存在的牙科病理,预期的难以输入管道,和糟糕的喉腔镜视图是显著的独立预测因素.
- 对这些因素进行彻底的手术前评估对于降低风险至关重要.
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